Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $1,614.00 / $7,727.00	Facility		$104.52	$1,614.00	$7,727.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.52 / $104.52 / $151.15	Professional		$104.52	$104.52	$151.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $110.55 / $660.00	Professional		$97.31	$110.55	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $164.66 / $326.33	Professional		$100.80	$164.66	$326.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.07 / $288.62 / $288.62	Professional		$131.07	$288.62	$288.62
United Facility/Professional Facility Modifier Low / Median / High Price $665.00 / $762.00 / $6,342.00	Facility		$665.00	$762.00	$6,342.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.34 / $306.06 / $343.88	Professional		$118.34	$306.06	$343.88